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what is an alternative name for the alimentary canal?
gastrointestinal or GI tract
What is the function of motilin??
Promotes motility in SI
what structures make up the gastrointestinal or GI tract?
mouth, pharynx, esophagus, stomach, small intestine, large intestine
what are the accessory glands?
teeth, tongue, salivary glands, gallbladder, liver, pancreas
do the accessory glands see food?
no except for the teeth and tongue
what are the six essential digestive activities?
ingestion, propulsion, mechanical digestion, chemical digestion (involves secretion), absorption, defecation
What has the same general structures as the digestive tract?
esophagus and anus
what are the four major tissue layers of the digestive tract?
mucosa, submucosa, muscularis externa, serosa
what is mucosa?
inner most layer of digestive tract tissue, secretes mucous, important for absorption
What is submucosa? What does it contain?
contains blood and nerve supply
what is the muscularis externa important for?
motility
what is the serosa?
outer connective tissue layer
What does the myenteric plexus control?
muscle mobility
what does the submucous plexus control?
secretion of mucous, enzymes, and hormones
what are the different GI tract sensory receptors?
mechanoreceptors, chemoreceptors
what do mechanoreceptors respond to?
stretch as food moves through
what do chemoreceptors respond to?
osmolarity and pH changes, digestive substrates and end products (food)
How do chemoreceptors relate to digestive enzymes?
send out digestive enzymes needed by telling the organ what it needs to secrete
what are the general reflexes initiated by mechanoreceptors and chemoreceptors? What is the function of the initiated reflexes?
activate or inhibit digestive glands, stimulate smooth muscle to mix and move lumen contents
What are the two types of controls for GI tract sensory receptors?
extrinsic and intrinsic controls
what are extrinsic controls for the GI tract sensory receptors?
controls from outside the digestive tract
what are intrinsic controls for the GI tract sensory receptors?
controls from within the digestive tract
What do internal and external controls for GI tract sensory receptors affect?
motility, secretion of enzymes/hormones
what is an alternative name for intrinsic controls of the GI tract?
short reflexes
what is an alternative name for extrinsic controls of the GI tract?
long reflexes
what are short reflexes?
enteric nerve plexuses (gut brain) respond to stimuli in GI tract
what are long reflexes?
respond to stimuli inside or outside the GI tract, autnomic control/CNS
what are some examples of things that trigger your long reflexes?
thought or smell of food
what is the role of hormones in the extrinsic/intrinsic controls of the GI tract?
stimulate target cells in same or different organs
Where do hormones come from in order to contribute to the extrinsic/intrinsic controls of the GI tract?
from stomach and small intestine
What are the four digestive processes?
motility, secretion, absorption, digestion
what is motility?
muscular contractions that mix and move forward the contents of the digestive tract
what are the two types of motility?
peristalsis and segmentation
What is peristalsis?
propulsive movements that move food based on slow waves potentials
What is segmentation?
mixing movements
what is the purpose of segmentation?
promotes digestion of foods, facilitates absorption
what hormones are involved in secretion?
CCK, gastrin, secretin
What do hormones involved in secretion effect?
motility and secretions
where do we find digestive enzymes?
mouth, stomach, small intestine
Where do we see mucous?
mouth, stomach, small intestine
what structures are important for absorption?
villi and microvilli
what is the function of villi and microvilli?
increase surface area for absorption
What is mechancial digestion?
digestion by chewing
What is chemical digestion?
chemical breakdown by enzymes of carbohydrates, proteins, fats
What are the types of carbohydrates?
starch, dissaccarides, monosaccarides, complex carbohydrates
what proportion of carbohydrates is accounted for by starch?
2/3
what are some examples of dissaccarides?
sucrose and lactose
what are examples of monosaccarides?
glucose
what are some examples of complex carbohydrates?
fibre
which type of carbohydrate is absorbed right away?
monosaccarides
what type of carbohydrate is an oligosaccaride?
complex carbohydrate
what enzymes breakdown carbohydrates?
amylase and SI enzymes (lactase, maltase)
where do amylase that breakdown carbohydrates come from?
salivary glands and pancreas
where do amylase from salivary glands act in?
mouth
where do amylase from pancreas act in?
SI
where do lactase and maltase come from and what do they act in?
from SI wall, acts in SI
explain the path of starch digestion?
starch convert to maltose using amylase in the mouth and SI, maltase breaks down maltose into glucose in the SI, glucose absorbed directly in the blood
Can humans directly digest complex carbohydrates?
no, humans lack enzyme to digest complex carbohydrates
what enzyme is used to digest complex carbohydrates?
alpha galactosidase
how do we digest complex carbohydrates?
fibre moves to LI for e coli digestion, fermentation occurs then gas produces
about how much protein do we need per day?
50-60g
what are proteins made of?
essential amino acids
what enzymes are secreted for protein digestion?
pepsin, trypsin/chymotrypsin, carboxypepsidase, aminopeptidase, dipeptidases
where is pepsin secreted from for protein digestion?
stomach
which organ secretes multiple enzymes for protein digestion?
pancrease
Where do enzymes working on protein digestion act in?
SI
Why are many enzymes needed for protein digestion?
needed to break the bonds between the different amino acids
where is alastase secreted from?
stomach
where does alastase act in?
SI
what does alastase break down?
connective tissue
what does pepsin break down?
protein
what does trpysin/chymotrypsin break down?
protein
what does carboxypepsidase, aminopeptidase, and dipeptidase break down?
protein
what does amylase break down?
carbohydrates
explain the pathway of protein digestion
proteins are broken down by pepsin, trypsin/chymotrypsin in SI to polypeptides which are broken down into dipeptides by carboxypepsidase and aminopepsidase in SI, then into amino acids abosorbed directly into blood
are fats polar or non-polar?
non-polar
what is needed to break down fats?
emulsifier
is bile an enzyme?
no
where is bile made?
liver
where is bile stored?
gall bladder
what is the function of bile in digestion?
increases surface area of lipase
what enzyme is used in fat digestion?
lipase
where is lipase secreted from?
pancreas
where does lipase act in?
SI
explain the pathway of fat digestion
fat is broken down into smaller fat globules by bile in the SI, fat globules broken down into glycerol and fatty acids by lipase in the SI, glycerol directly into blood and fatty acids go into lymph then blood
what does lipase act on?
emulsified droplets
Explain fat absorption
lipase acts on emulsified droplets, get monoglyceride and fatty acids, enter absorptive cells or form micells, form chylomicron within cell then absorbed into lymph
through which process does fatty acid move into lymph?
fat absorption
list the breakdown of fat in fat absorption
big droplets of fat to small droplets, micelles, fatty acids and monoglycerides, chylomicron assembly, distribution and processing
what are nucleic acids broken down by?
nucleases
what organ secretes nucleases?
pancreas
where do nucleases act?
small intestine
what enzymes along with nucleases aid in the breakdown of nucleic acids?
SI enzymes
what are vitamins absorbed by?
absorbed whole by carriers
what important part of digestion occurs in the mouth?
chewing, mechanical digestion
what occurs in the process of chewing? What is the purpose?
increase surface area and decrease choking
what is secreted during chewing in the mouth?
mucous and salivary amylase
what is the purpose of mucous in the mouth?
lubrication
what is the function of salivary amylase in the mouth?
starch digestion
do we have increased or decreased saliva when the sympathetic NS is active?
decreased